Document Detail


Intraductal biliary and pancreatic endoscopy: an expanding scope of possibility.
MedLine Citation:
PMID:  18506916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intraductal endoscopy describes the use of an endoscope to directly visualize the biliary and pancreatic ducts. For many years, technological challenges have made performing these procedures difficult. The "mother-baby" system and other various miniscopes have been developed, but routine use has been hampered due to complex setup, scope fragility and the time consuming, technically demanding nature of the procedure. Recently, the SpyGlass peroral cholangiopancreatoscopy system has shown early success at providing diagnostic information and therapeutic options. The clinical utility of intraductal endoscopy is broad. It allows better differentiation between benign and malignant processes by allowing direct visualization and targeted sampling of tissue. Therapeutic interventions, such as electrohydraulic lithotripsy (EHL), laser lithotripsy, photodynamic therapy, and argon plasma coagulation (APC), may also be performed as part of intraductal endoscopy. Intraductal endoscopy significantly increases the diagnostic and therapeutic yield of standard endoscopic retrograde cholangiography (ERCP), and as technology progresses, it is likely that its utilization will only increase. In this review of intraductal endoscopy, we describe in detail the various endoscopic platforms and their diagnostic and clinical applications.
Authors:
Joel R Judah; Peter V Draganov
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Publication Detail:
Type:  Historical Article; Journal Article; Review    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  14     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-28     Completed Date:  2008-08-21     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  3129-36     Citation Subset:  IM    
Affiliation:
Division of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, Florida 32610-0214, United States.
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MeSH Terms
Descriptor/Qualifier:
Bile Ducts / pathology*
Biliary Tract Diseases / pathology*,  therapy
Cholangiopancreatography, Endoscopic Retrograde
Endoscopes, Gastrointestinal
Endoscopy, Digestive System* / adverse effects,  history,  instrumentation,  methods
Equipment Design
History, 20th Century
Humans
Pancreatic Diseases / pathology*,  therapy
Pancreatic Ducts / pathology*
Predictive Value of Tests
Treatment Outcome
Comments/Corrections

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